MS. NICOLE ANISE GRAHAM LPN NPI 1356853451

NPI Information

  • NPI: 1356853451
  • Provider Name: MS. NICOLE ANISE GRAHAM, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 37 MATSUNAYE DR
    MEDFORD, NY
    ZIP 11763
  • Phone: (631) 394-1357

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NPI Details

MS. Nicole Anise Graham, LPN is a licensed practical nurse in Medford, NY. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MS. Nicole Anise Graham, LPN NPI is 1356853451. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

37 MATSUNAYE DR
MEDFORD, NY
ZIP 11763-112
Phone: (631) 394-1357

The enumeration date for this NPI number is 10/30/2017 and was last updated on 10/30/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical Nurse330386NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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